DR. ABDUL-BADI ABOU-SAMRA (M.D., PH.D.) – Endocrinology, Diabetes & Metabolism Physician, NPI 1932195203
Endocrinology, Diabetes & Metabolism Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
300 ENDOCRINOLOGY in MI
Provider Addresses for DR. ABDUL-BADI ABOU-SAMRA (M.D., PH.D.)
4160 John R St
Suite 917
Detroit, MI 482012020
Phone: (313) 745-4525
Type: Location
2142 N Cove Blvd
Toledo, OH 436063895
Phone: (419) 291-4000
Type: Location
3333 Glendale Ave
Toledo, OH 436142426
Phone: (419) 383-5555
Fax: (419) 383-3113
Type: Location
3000 Arlington Ave
Toledo, OH 436142595
Phone: (419) 383-4000
Type: Location
2100 W CENTRAL AVE STE 200
TOLEDO, OH 436063817
Phone: (567) 420-1600
Fax: (567) 420-1633
Type: Location
The Plaza, 3800, Woodward Avenue, Midtown, Detroit, Wayne County, Michigan, 48201, United States
SUITE 600
DETROIT, MI 482012061
Phone:
Type: Mailing
Harper Professional Building, 4160, John R Street, Medical Center, Midtown, Detroit, Wayne County, Michigan, 48201, United States
SUITE 917
DETROIT, MI 482012020
Phone: (313) 745-4525
Type: Location
3000 ARLINGTON AVE STOP 1108
TOLEDO, OH 436142595
Phone: (419) 383-5322
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-12-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20251211003762 | I | Endocrinology | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48201)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| P A T H O L O G Y | OH | |
| General Surgery, Critical Care (Intensivists) | MI | |
| - | OH | |
| Nurse Practitioner | OH | |
| - | OH | |
| - | OH | |
| General Surgery | ME | |
| Vascular Surgery, General Surgery | MN | |
| - | OH |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.